Zizindikiro ndi Mmene Zimasiyanirana ndi Pouchitis
Kutentha kotupa (nthawi zina amatchedwa cuffitis) ndiko kutupa kwa mbali ya rectum yomwe imatsalira pambuyo pa opaleshoni ya leal-anal anastomosis (IPAA), yomwe imadziwika kuti opaleshoni ya j-poch . Kuchita opaleshoni ya IPAA imachitidwa pochiza matenda a zilonda zam'mimba, ngakhale kuti zikhoza kuchitidwa pazinthu zina, monga abambo a adenomatous polyposis (FAP) .
Kutupa mu khola lachilendo sizolowereka pambuyo pa opaleshoni ya IPAA. Anthu ambiri omwe amachita opaleshoni ya j-pochi amachita bwino ndipo samamva kutupa. Ngati pali kupweteka kwa magazi kapena kutuluka magazi pambuyo pa opaleshoni ya j-poch, iyenera kukambidwa ndi gastroenterologist. Pali mankhwala omwe alipo kuti athetse kutupa kulikonse ngati kukuchitika.
Kodi opaleshoni ya IPAA ndi yotani?
Mu opaleshoni ya j-pouch, matumbo akuluakulu (colon) amachotsedwa ndipo gawo lomalizira la intestine (leamu) likugwiritsidwa ntchito popanga "thumba." Chikwamachi nthawi zambiri chimapangidwa mofanana ndi chilembo "J," koma palinso maphwitikila omwe amapanga mawonekedwe a "S" kapena "W." Chikwamacho chimagwirizanitsidwa ndi rectum, ndipo wodwala amachotsa chifuwacho. Kuchita opaleshoni kaŵirikaŵiri kumachitidwa m'magulu angapo kuti athe kuchiritsa ndi kupititsa patsogolo mwayi wa thumba labwino.
Kodi Rectal 'Cuff' ndi chiyani?
Mphunoyi ndi mbali ya m'mimba yomwe ili pakati pa matumbo akulu ndi anus.
Mu opaleshoni ya j-pouch, zina mwa rectum zimasungidwa kuti athandize wodwala kukhalabe choponderezedwa mu thumba, ndi kupewa kutuluka. Komabe, kachilomboka kamathandizanso ndi ulcerative colitis. Choncho, mbali ya rectum (yomwe nthawi zina imatchedwa tsinde kapena chifuwa) yomwe imatsalira pambuyo matumbo akulu atachotsedwa akhoza kuyamwa ndi ulcerative colitis.
Nthawi zina, chikhochi chimatha kuchitidwa opaleshoni chifukwa cha zifukwa zina. Kutupa mu gawo lino la rectum kumadziwika ngati kutukuka kwa chikhotecho kapena, mocheperako, cuffitis.
Zizindikiro ndi Chithandizo
Zisonyezero za chikhomodzinso chowombera chimaphatikizapo kawirikawiri kufunika kudutsa zidole zamagazi ndi zamagazi . Gastroenterologist angafunike kuyang'ana mkati mwa rectum ndi endoscope kuti adziwe matenda. Kutupa kungayambitse zizindikiro zofanana ndi vuto linalake lomwe limatchedwa " pouchitis ," zomwe zimapangitsa kuti mupeze matenda oyenera. Pouchitis ndi pamene kutupa kumapezeka mu j-poch kwenikweni. Nthaŵi zina, kutupa kwa chikhotakhota kumatengedwa ngati kupitirira kwa ulcerative colitis, yomwe ikuchitika tsopano mu rectum.
Chithandizo cha katemera wotentha chimatha kugwiritsa ntchito mankhwala opangira mankhwala omwe amaperekedwa kudzera mu suppository, monga mesalamine kapena corticosteroids. Mankhwala samaperekedwa kawirikawiri. M'madera omwe sagonjera ma suppository, madokotala ena amapereka mawonekedwe a corticosteroid omwe amaikidwa mu rectum pogwiritsa ntchito endoscope. Kutupa nthawi zambiri kumawongolera ndi chithandizo, koma ngati sichitero, dokotala angayang'ane chifukwa china cha zizindikiro, monga pouchitis, fistula , kapena matenda a Crohn pa thumba.
Zotsatira:
Shen B. "Kuzindikira ndi Kutsogola kwa Matenda a Postalative Amaal Pouch Disorders". Dec 2010; 23 (4): 259-268. lembani: 10.1055 / s-0030-1268252. 30 Jan 2015.
Wu B, Lian L, Li Y, Remzi FH, Liu X, Kiran RP, Shen B. "Odwala Amuna Odwala Ulcerative Colitis Omwe Amagwiritsa Ntchito Proctocolectomy ndi Analomoses a Ileal Pouch." Inflamm Bowel Dis . 2013 Feb; 19 (2): 404-10. lembani: 10.1097 / MIB.0b013e31828100ed. 30 Jan 2015.
Shen B, Lashner BA, Bennett AE, Remzi FH, Brzezinski A, Achkar JP, Bast J, Bambrick ML, Fazio VW. "Kuchiza kwa Rectal Cuff Inflammation (Cuffitis) kwa Odwala Ndi Ulcerative Colitis Pambuyo Pobwezeretsa Proctocolectomy ndi Ileal Pouch-anal Anastomosis." Am J Gastroenterol . 2004 Aug, 99 (8): 1527-1531. 30 Jan 2015.